10D2013250 CLIA NUMBER - WALGREENS CO

Laboratory Demographics

  • CLIA Code: 10D2013250
  • Facility Name: WALGREENS CO
  • Facility Address: 22829 STATE ROAD 54
    LAND O' LAKES, FL
    ZIP 34639
  • Facility Phone: 813 949-0464
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TINA DICUCCIO BAPTISTE
  • NPI Number: 1073528196
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2013250
LAB Type Pharmacy
Facility Name WALGREENS CO
Street 22829 STATE ROAD 54
City LAND O' LAKES
State FL
ZIP 34639
Phone 813 949-0464
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Pharmacy
Lab Director TINA DICUCCIO BAPTISTE

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This page was last updated on: 9/29/2025